Enzyme Deficiencies and Steroidogenesis
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Questions and Answers

Which enzyme deficiency is associated with increased blood pressure?

  • 11beta-Hydroxylase (correct)
  • 17 Alpha-Hydroxylase (correct)
  • 21-Hydroxylase
  • All of the above
  • Which enzyme deficiency is characterized by a decrease in androstenedione levels?

  • 11beta-Hydroxylase
  • 17 Alpha-Hydroxylase (correct)
  • 21-Hydroxylase
  • None of the above
  • Which enzyme deficiency presents with severe hypertension and precocious puberty in childhood?

  • 11beta-Hydroxylase (correct)
  • 17 Alpha-Hydroxylase
  • 21-Hydroxylase
  • All of the above
  • Individuals with 21-Hydroxylase deficiency often experience what symptom?

    <p>Increased renin activity (B)</p> Signup and view all the answers

    Which of the following is NOT a common presentation of 17 Alpha-Hydroxylase deficiency in females?

    <p>Virilization (A)</p> Signup and view all the answers

    What physiological response is observed with 11beta-Hydroxylase deficiency?

    <p>Increased aldosterone levels (B)</p> Signup and view all the answers

    Which presentation is common in individuals with 21-Hydroxylase deficiency?

    <p>Salt wasting in infancy (C)</p> Signup and view all the answers

    How does 17 Alpha-Hydroxylase deficiency affect potassium levels?

    <p>Decreased potassium levels (D)</p> Signup and view all the answers

    What hormone level is affected in 17 Alpha-Hydroxylase deficiency?

    <p>Decreased sex hormones (C)</p> Signup and view all the answers

    What laboratory change is typical for 21-Hydroxylase deficiency?

    <p>Increased renin activity (A)</p> Signup and view all the answers

    What effect does a deficiency in 11beta-Hydroxylase have on potassium levels?

    <p>Decrease potassium levels (A)</p> Signup and view all the answers

    Which of the following symptoms is most commonly associated with 21-Hydroxylase deficiency?

    <p>Salt wasting in infancy (D)</p> Signup and view all the answers

    In males with 17 Alpha-Hydroxylase deficiency, which condition is commonly observed?

    <p>Lack of sexual development (C)</p> Signup and view all the answers

    What is a notable laboratory change in patients with 21-Hydroxylase deficiency?

    <p>Increased renin activity (C), Increased 17-hydroxyprogesterone (D)</p> Signup and view all the answers

    What physiological change is typically observed in individuals with a deficiency in 17 Alpha-Hydroxylase?

    <p>Decreased blood pressure (B)</p> Signup and view all the answers

    Which enzyme deficiency is most common and presents with hypotension and salt wasting in infancy?

    <p>21-Hydroxylase (C)</p> Signup and view all the answers

    Which enzyme deficiency leads to an increase in 17-hydroxyprogesterone levels?

    <p>21-Hydroxylase (C)</p> Signup and view all the answers

    Which of the following is NOT a common presentation in females with 17 Alpha-Hydroxylase deficiency?

    <p>Virilization (B)</p> Signup and view all the answers

    Which enzyme deficiency is associated with increased renin activity and decreased blood pressure?

    <p>21-Hydroxylase (C)</p> Signup and view all the answers

    Which enzyme deficiency can present with precocious puberty in both males and females?

    <p>11beta-Hydroxylase (A), 21-Hydroxylase (C)</p> Signup and view all the answers

    What is the primary physiological change associated with 11beta-Hydroxylase deficiency?

    <p>Increased mineralocorticoids (A)</p> Signup and view all the answers

    Which presentation is expected in females with 21-Hydroxylase deficiency?

    <p>Excess pubic hair (B)</p> Signup and view all the answers

    How does 17 Alpha-Hydroxylase deficiency present in males?

    <p>Normal genitalia and sexual development (B)</p> Signup and view all the answers

    What laboratory change is typically observed in individuals with 17 Alpha-Hydroxylase deficiency?

    <p>Decreased androstenedione levels (D)</p> Signup and view all the answers

    What physiological parameter is typically decreased in individuals with 21-Hydroxylase deficiency?

    <p>Mineralocorticoids levels (C)</p> Signup and view all the answers

    What physiological consequence is directly linked to 11beta-Hydroxylase deficiency?

    <p>Increased mineralocorticoids levels (D)</p> Signup and view all the answers

    Which presentation is typical for individuals with a deficiency in 17 Alpha-Hydroxylase?

    <p>Lack of sexual development and primary amenorrhea in females (C)</p> Signup and view all the answers

    How does 21-Hydroxylase deficiency affect laboratory values?

    <p>Increased levels of renin activity and 17-hydroxyprogesterone (A)</p> Signup and view all the answers

    Which of the following is a characteristic change in individuals with 11beta-Hydroxylase deficiency?

    <p>Increased aldosterone and decreased renin activity (C)</p> Signup and view all the answers

    What abnormality is commonly observed in males with 21-Hydroxylase deficiency?

    <p>Lack of sexual development (C)</p> Signup and view all the answers

    Study Notes

    Enzyme Deficiencies and Steroidogenesis

    • 11beta-Hydroxylase Deficiency:

      • Mineralocorticoids (Aldosterone) are increased
      • 11-deoxycorticosterone is decreased
      • Aldosterone is decreased
      • Potassium (K+) is decreased
      • Blood pressure is increased
      • Sex hormones are increased
      • Renin activity is decreased
      • Presentation: Severe hypertension; presents in childhood (precocious puberty); virilization in females (excess androgens)
    • 17 Alpha-Hydroxylase Deficiency:

      • Mineralocorticoids (Aldosterone) are increased
      • Potassium (K+) is decreased
      • Blood pressure is increased
      • Sex hormones are decreased
      • Androstenedione (precursor to testosterone and estrogens) is decreased
      • Presentation: Severe hypertension; lack of sexual development (low pubic hair), primary amenorrhea in females; normal genitalia in females and males lack sexual development
    • 21-Hydroxylase Deficiency:

      • Mineralocorticoids (Aldosterone) is decreased
      • Potassium (K+) is increased
      • Blood pressure is decreased
      • Sex hormones are increased
      • Renin activity is increased
      • 17-hydroxyprogesterone is increased
      • Presentation: Most common; hypotension; presents in infancy with salt wasting; childhood (precocious puberty); virilization in females (excess androgens)

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    Description

    This quiz covers the key concepts of enzyme deficiencies related to steroidogenesis, including 11beta-hydroxylase, 17 alpha-hydroxylase, and 21-hydroxylase deficiencies. Learn about the physiological effects, hormonal imbalances, and clinical presentations associated with each condition. Perfect for students studying endocrinology or related fields.

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